HomeMy WebLinkAbout2011-00952 - mechanical f #
CITY OF ORONO PERMIT NO.: 2011-00952
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/29/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 3085 WATERTOWN RD
PIN : 04-117-23-22-0032
LEGAL DESC : WALNUT CREEK
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 5,700.00
NOTE: HEATING SYSTEM
(1) MITSUBISHI-MODEL MUZ 18-ELECTRIC- 18,000 INPUT BTU'S, 18,000 OUTPUT BTU'S-600 CFM
APPLICANT MECHANICAL 71.25
AIR QUALITY SERVICES,INC. STATE SURCHARGE MECH(VALUATION) 2.85
6221 CAMBRIDGE STREET
BOX A6 MAIL-IN FEE 2.00
ST LOUIS PARK,MN 55416- TOTAL 76.10
(952)928-3835 PAID WITH CC# 9849
OWNER
GERHART,RICHARD&JANICE
3085 WATERTOWN RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due c se.
Applicant Permitee Signature Date
Issued&ly Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
'Rug 26 2011 10: 29AM Air Quality Services, Inc 952-929-1067 p- 1
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2750 Kelley Parkway rte',,=__ 5,::>'Mme•'--_�,H,i_��T �— ' 9
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Phone(952)2 ( ) I
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CITY OF ORONO-MECHANICAL PERMrr
(All Commercial permlta must W approved by the BWld4 Offic W or Inspeowr and/or Fire Marshall)
1. You may apply fbr mechanical permits by mail or in person at the City offloes. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mall after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD I8 ZQMD ON THE JOB BITE.
3, BIW1enicsl D-Hiens-Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model, Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit mu it be
obtained.
S. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(2448 hour notice required)
7. House Heating Test Record must be submifxed before final.
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% ftsidential El Commercial(Approval Required)
❑New Additional ❑Repairs ❑Replace
Site Address: '15,5
Owner:_IClmas (--)f rl Art Mailing Address: .3e)8 el",o
city: 0R.&On Zip: -6135to
Home Phone: Alternate Phone:
_:.....'
.1110 _. .
Contractor: R
eo
Address: ate Bond#:
City: a.( i �Kpiration Date:
Phone: R51- agAlternate Phone:
Insurance--Current:
1
I
•Ap�g 26 2011 10: 29AM Air Quality Services, Inc 952-929-1067 p. 2
III!loll
Note:All Geothermal Systems will now require a Site Plan&$gave by our Building Official.
IS THIS GEOTHERMAL? ❑Yes gNo
HEATING SYSTEMS
Quaadty:
Mahe: M IT5 MA *I
Model: M M Z. I g
Fuel: IL EEC..
Flue,Size:
Input BTUs: rm
Output BTUs:
CFM: 00
COOLING SYSTEMS
Quantity:
Make:
Model;
Tons:
K Power \ko
FIREPLACES
❑ Cies Factory Flreplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VZNTILATION
❑ No, Kitchen Exhaust duct recirculating cftn
e No. Bath Exhaust(must have duct outside) oft
No. Other Fans: Locations c8n
FUELL SSE(Must be approved by Fire Marshall tfpropoib B to obaxdon lank In placa.)
❑ Installstion [1 Removal
Fuel Oil: gallons ❑ Underground ❑Wide ❑Outside
LP Gem: gallons
Other:
CAflLINE ONLY
❑ Outdoor Drill ❑ Other/List Whet&Where:
2
(.ug 26 2011 10: 29AM Air Quality Services, Inc 952-929-1067 p. 3
❑ lies,this section applies
The replacement of a Residential fixture or a fllianee that meets all Own of the following requlrements:
1. Doe gnot require modification to electrical or gas service.
2. Has a of$500.00orlms;excludin the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Sldp next section,if this applies; Cost of Permit $ 13.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE M is 1,25%of contract price with a(Minimum Fee*r550.00)
x.0125 $ :11Q/
(cormaotprlce) (mlploam 0.00)
2, STATE SURCTIAJ" C4 io
�
x.0005 $
(Cownr price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERNUT FEE(Add Lines 1-3 Above) $ 72 fO
-400
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material,equipment, labor or installations are furnished by
the ownor,gent or any other party, the reasonable market value of such Items must be added to the
estimated cost or contract price for permit foe purposes. In the event that there is a dispute on tho
amount of the job cost,the City may request the submission of a signed copy of the actual contract.
U�
r f,,< 19/13
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: ✓ Date:
M-
3
�`�✓ll—/L7�'��``� AT TIME
CITY OF 090NO W CALLED IN
INSPECTION NO C SCHEDULED
PERMIT NO. o G�COM LT#D
ADDRESS cO� CG �L--,7! /�! tcsz
OWNERTELEPHONE NO.607 8^ /
CONTRACTOR
DESCRIPTION c C�
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
% D WALL El MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O E] TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
ElFINAL E] SEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ S T FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES—NO
COMMENTS:
ac
W
C
cc
0
Lk
W
cc
Q
Z
W
LU
CC
LUElWORK SATISFACTORY:PROCEED jk?ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR E)CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice